Utilization Review Coordinator in Michigan
Forest View Hospital • fort mcmurray, Canada
Role Description
Join UHS as a Utilization Review Coordinator, focusing on patient treatment modalities and insurance liaison. This role requires assessing care levels and collaborating with treatment teams in Michigan.
The Utilization Review Coordinator is vital for managing patient information and advocating for appropriate care levels. This Michigan-based position emphasizes psychiatric expertise to negotiate with insurance companies and ensure all reviews meet clinical standards. Duties include conducting stay reviews, documentation, and assisting with appeals when necessary.
Key Responsibilities:
• Negotiate on behalf of patients and the Hospital
• Assess and interpret patient care levels
• Review and document discharge information
• Complete pre-certifications and stay reviews
• Provide consultative services across departments
Requirements:
• RN/MA/MSW certification required
• Professional licensure in Michigan
...
The Utilization Review Coordinator is vital for managing patient information and advocating for appropriate care levels. This Michigan-based position emphasizes psychiatric expertise to negotiate with insurance companies and ensure all reviews meet clinical standards. Duties include conducting stay reviews, documentation, and assisting with appeals when necessary.
Key Responsibilities:
• Negotiate on behalf of patients and the Hospital
• Assess and interpret patient care levels
• Review and document discharge information
• Complete pre-certifications and stay reviews
• Provide consultative services across departments
Requirements:
• RN/MA/MSW certification required
• Professional licensure in Michigan
...